Raphaelson Dental Associates LLP

NPI #1548338593 in Deer Park, New York

Provider Information

NPI Number: 1548338593
Entity Type: Organization
Organization Name: Raphaelson Dental Associates LLP
Primary Specialty: Dentist
Enumeration Date: Nov 30, 2006
Last Updated: Sep 14, 2012

Practice Location

Address: 450 GRAND BLVD
City: Deer Park
State: New York
ZIP Code: 11729-4286
Phone: (631) 667-4080

Authorized Official

Name: DR. TODD F RAPHAELSON, DDS
Title: OWNER DENTIST
Phone: (631) 667-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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